tag:blogger.com,1999:blog-14743001.post6209070407963242920..comments2016-12-04T09:35:02.199-06:00Comments on Notes from Dr. RW: The medical Thought Police target Medscaperobert donnellnoreply@blogger.comBlogger16125tag:blogger.com,1999:blog-14743001.post-84713318302535713112008-09-12T21:45:00.000-05:002008-09-12T21:45:00.000-05:00It took 48 hours to get expelled and banned from P...It took 48 hours to get expelled and banned from Pharmalot, a left wing propaganda blog. I demanded the revenue of the newspaper that owns it from health insurance company advertising. <BR/><BR/>I suggested that Grassley and drug company hate sites were racists. They do not want dark skinned people on Medicaid to get better brand name drugs. <BR/><BR/>If docs used generics, there would be no Supremacy Claushttp://supremacy.claus.blogspot.comnoreply@blogger.comtag:blogger.com,1999:blog-14743001.post-7606603572434001862008-09-09T13:25:00.000-05:002008-09-09T13:25:00.000-05:00All these DTC ads are pushing new drugs when the o...All these DTC ads are pushing new drugs when the old drugs or the generics are much, much less expensive. I’ve seen ads on TV for Caduet. It has two ingredients. One is Amlodipine and the other is Atorvastatin. With my RxDrugCard I can get 30 tablets of Amlodipine for $9 and 30 tablets of Simvastatin for $9. I’ll bet they are charging more than $18 for this new drug! The unthinking public Lilyhttp://www.blogger.com/profile/11745063098617886577noreply@blogger.comtag:blogger.com,1999:blog-14743001.post-65840904943635774722008-06-25T09:50:00.000-05:002008-06-25T09:50:00.000-05:00Supremacy Claus,Thanks for the last comment. I ha...Supremacy Claus,<BR/>Thanks for the last comment. I have written a separate post on that topic today.R. W. Donnellhttp://www.blogger.com/profile/16944231400440786271noreply@blogger.comtag:blogger.com,1999:blog-14743001.post-19605142691701522092008-06-25T00:57:00.000-05:002008-06-25T00:57:00.000-05:00This point is missing from the discussion. CME its...This point is missing from the discussion. CME itself is garbage. It does no harm. It has no demonstrable benefit. Demanding an example of a benefit is as valid as demanding an example of harm. I could not name a specific fact of benefit, just as Carroll cannot name an instance of specific harm. <BR/><BR/>CME is an unfunded mandate imposed by the clinician hater lawyer oppressor running the Supremacy Claushttp://www.blogger.com/profile/03215810467361119756noreply@blogger.comtag:blogger.com,1999:blog-14743001.post-1254055665374098842008-06-24T22:19:00.000-05:002008-06-24T22:19:00.000-05:00Dr. D: You may not know this. Dr. Carroll is a ver...Dr. D: You may not know this. Dr. Carroll is a very famous psychiatrist. He was a great leader who worked on a very early biological marker of depression, the dexamethasone suppression test. Sad to see such an eminent psychiatrist, of historic importance, involve himself in this crass partisan dispute, mucking around with the pigs. I include myself among the pigs. <BR/><BR/>Dr. Carroll does not Supremacy Claushttp://www.blogger.com/profile/03215810467361119756noreply@blogger.comtag:blogger.com,1999:blog-14743001.post-45454983202877255072008-06-24T22:13:00.000-05:002008-06-24T22:13:00.000-05:00Dr. Carroll, I have made no attempt to defend ever...Dr. Carroll, <BR/>I have made no attempt to defend everything the drug companies, or their opinion leaders, do. My post was about industry supported, accredited Medscape CME.<BR/><BR/>If you want to discuss the larger issue of industry support of CME I would submit that opinion leader spin in the 1970s and 80s has little to do with industry supported CME under today's policies and safeguards.R. W. Donnellhttp://www.blogger.com/profile/16944231400440786271noreply@blogger.comtag:blogger.com,1999:blog-14743001.post-43931981526908649932008-06-24T21:19:00.000-05:002008-06-24T21:19:00.000-05:00HARM TO PATIENTSRW Donnell and Supremacy Claus are...HARM TO PATIENTS<BR/><BR/>RW Donnell and Supremacy Claus are demanding documentation that patients have been harmed by KOLs spinning products for their corporate handlers. Documentation is not hard to come by. An excellent example is the wave of tardive dyskinesia cases that occurred in the 1970s and early 1980s among mood disordered patients who were treated unnecessarily with first generation Bernard Carrollhttp://www.blogger.com/profile/16203083806436919715noreply@blogger.comtag:blogger.com,1999:blog-14743001.post-24706274623163555572008-06-24T17:38:00.000-05:002008-06-24T17:38:00.000-05:00Dr. Poses may have missed this point from fifth gr...Dr. Poses may have missed this point from fifth grade. Or it has been erased by left wing indoctrination at some awful, Hate America, elite school. <BR/><BR/>This is America. We do not chill speech ahead of time. I refer you to Cuba, Venezuela, and the American academy, where they do that. <BR/><BR/>We punish criminal speech and compensate for tortious speech after the plaintiff has proven harm.Supremacy Claushttp://www.blogger.com/profile/03215810467361119756noreply@blogger.comtag:blogger.com,1999:blog-14743001.post-63284658398360191052008-06-24T15:36:00.000-05:002008-06-24T15:36:00.000-05:00Dr. Poses,As recently documented in a just release...Dr. Poses,<BR/>As recently documented in a just released ACCME report there's no evidence that sponsored CME influences doctors' prescribing in any meaningful way.<BR/><BR/>On the other hand there is evidence that non-accredited promotions such as detailing and sponsored meals influence prescribing. If we ban sponsored CME I belive drug companies would divert more resources to such non-accreditedR. W. Donnellhttp://www.blogger.com/profile/16944231400440786271noreply@blogger.comtag:blogger.com,1999:blog-14743001.post-51636640226400823022008-06-24T14:40:00.000-05:002008-06-24T14:40:00.000-05:00I am confident that there is a fair amount of evid...I am confident that there is a fair amount of evidence, albeit indirect, and logic behind the concern that physicians' financial ties to for-profit companies that supply medical products and services affect their clinical practice, teaching and research. <BR/><BR/>I guess my colleagues and I will have to go about doing a better job marshaling it. The comments space on a blog post may not be theRoy M. Poses MDhttp://www.blogger.com/profile/00497209843184497847noreply@blogger.comtag:blogger.com,1999:blog-14743001.post-12163349910361224842008-06-24T14:05:00.000-05:002008-06-24T14:05:00.000-05:00Dr. Poses,To answer your question, there's no evid...Dr. Poses,<BR/>To answer your question, there's no evidence that *any* CME benefits patients.<BR/><BR/>Concerning your point that absence of evidence does not equal evidence of absence, it seems to me that's shiftig the burden of proof. Shouldn't those who make the claims and call for harsh measures (which will have unintended consequences)shoulder that burden?R. W. Donnellhttp://www.blogger.com/profile/16944231400440786271noreply@blogger.comtag:blogger.com,1999:blog-14743001.post-29444596884155412002008-06-24T13:56:00.000-05:002008-06-24T13:56:00.000-05:00Absence of evidence is not the same as evidence of...Absence of evidence is not the same as evidence of absence.<BR/><BR/>I presume Dr RW keeps asking for evidence that MedScape CME or commercial CME harms patients knowing just how difficult it would be to do credible research testing this hypothesis, how little support there would be for such research, and how few medical academics (given the majority seem to have significant financial Roy M. Poses MDhttp://www.blogger.com/profile/00497209843184497847noreply@blogger.comtag:blogger.com,1999:blog-14743001.post-81899025370096017862008-06-24T13:46:00.000-05:002008-06-24T13:46:00.000-05:00The mind set is that of the left wing ideologue go...The mind set is that of the left wing ideologue gotcha technique. I spent a month on Carlat's blog demanding an instance of inappropriate patient care attributable to sponsored event. I gave up. If the criticism persists in the absence of a fact of harm, that has a name. Bias. Hate speech. <BR/><BR/>The response will ultimately be legalistic. The AMA considered a ban on sponsored events proposed Supremacy Claushttp://www.blogger.com/profile/03215810467361119756noreply@blogger.comtag:blogger.com,1999:blog-14743001.post-1462627317588975712008-06-24T13:01:00.000-05:002008-06-24T13:01:00.000-05:00Slosco,How carefully did you read my post? It was...Slosco,<BR/>How carefully did you read my post? It was about Medscape CME and the need for Carlat, Carroll and others to shoulder the burden of proof for their assertions. If you can help them out by citing overwhelming evidence of harm attributable to Medscape CME or any industry supported CME, for that matter, I'd be glad to examine it.<BR/><BR/>Anonymous,<BR/>There is some selectivity of R. W. Donnellhttp://www.blogger.com/profile/16944231400440786271noreply@blogger.comtag:blogger.com,1999:blog-14743001.post-30348019932872934522008-06-24T12:46:00.000-05:002008-06-24T12:46:00.000-05:00I don't know.I've seen many, many sponsored CME ev...I don't know.<BR/><BR/>I've seen many, many sponsored CME events/courses/etc. that, while technically being accurate, spin information in subtle yet meaningful ways to influence physicians in ways to potentially favor a branded product.<BR/><BR/>Example:<BR/><BR/>I was doing a self study test on heart failure sponsored by an ARB manufacturer. There were a surprisingly high number of questions Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-14743001.post-40357805711737043182008-06-24T11:53:00.000-05:002008-06-24T11:53:00.000-05:00Whatever.WOW. So much of what you have written fal...Whatever.<BR/><BR/>WOW. So much of what you have written falls into the “half-truth” type of commentary. It’s really kind of funny.<BR/><BR/>Now go off and write a post about the way in which GSK falsified results in Paxil trials. Overwhelming evidence, and overwhelming evidence of harm. Or are your posts as selective as stultifyingly dull corrupted CME.<BR/><BR/>The world is just fine.Slosconoreply@blogger.com